Individual
JAMES A LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(360) 651-7497
(360) 651-7479
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00020883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001818
—
WA
Enumeration date
09/14/2006
Last updated
12/13/2012
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